LE, TANG

$37K

Total Medicaid Paid

1,311

Total Claims

1,246

Beneficiaries

6

Codes Billed

2020-12

First Month

2024-05

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	360	354	$15K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	637	617	$14K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	78	78	$6K
17110		76	59	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	31	30	$446.10
99072		129	108	$0.00

Medicaid Provider Spending